2024-03-29T16:49:09Z
https://www.ijtmgh.com/?_action=export&rf=summon&issue=6099
International Journal of Travel Medicine and Global Health
Int J Travel Med Glob Health
2322-1100
2322-1100
2017
5
3
Zika Virus and Vector Transportation: A Forgotten Issue in Travel Medicine
Viroj
Wiwanitkit
Vectors
Transportation
Travel Medicine
Zika Virus
2017
09
01
72
73
https://www.ijtmgh.com/article_49569_f1c62f59df84d42f34de5a104f4e7d20.pdf
International Journal of Travel Medicine and Global Health
Int J Travel Med Glob Health
2322-1100
2322-1100
2017
5
3
An Eye on Travel: An Overview of Travel-Related Ocular Complications
John Zhi
Ming Tang
Gerard
Flaherty
Travellers are at risk of a diverse range of environmental and infectious conditions, some of which may affect the eyes and lead to blindness in severe cases. Travel-related ocular infections include onchocerciasis, leishmaniasis, cysticercosis, trachoma, dengue, loiasis, and leptospirosis. The travel medicine adviser should also recognise other hazards encountered during travel which may adversely affect the eye. These include recreational activities such as high altitude trekking, bungee jumping, skiing, scuba diving, and sun exposure. There is a subset of travellers who have underlying eye conditions, which predispose them to complications during international travel, including angle-closure glaucoma, and expansion of intraocular gas from previous vitreoretinal surgery. Contact lens wearers have a greater risk of ocular infection and corneal erosion during travel, especially where hygiene standards are low. Despite the susceptibility of the eye to infection, traumatic injury and environmental damage during international travel, this topic is not frequently discussed in the context of pre-travel consultations. Travel medicine professionals should have a reasonable knowledge of the major ocular risks associated with travel overseas.
Altitude
Contact Lenses
Eye Diseases
Eye Infections
Travel
2017
09
01
74
76
https://www.ijtmgh.com/article_50056_2f82a24cdb779f9db68cc15c61d307a1.pdf
International Journal of Travel Medicine and Global Health
Int J Travel Med Glob Health
2322-1100
2322-1100
2017
5
3
Training for Medical Tourism in Iran
Zahra
Danial
Abbas
Abbaspour
Hamid
Rahimian
Nasrin
Shaarbafchi Zadeh
Mostafa
Niknami
Introduction: Today, medical tourism is becoming popularized through the upgrading of quality standards essential to providing appropriate and high quality services to those in need. Training is an essential factor in improving the current standards. Medical tourism can provide state-of-the-art treatment for patients. Methods: This study is a narrative review of studies aimed at investigating the importance of training in medical tourism and to address the question of whether training in the development of medical tourism and attracting medical tourists is feasible. Results: Medical tourism can provide state-of-the-art treatment for patients. Experts in the field of medical tourism can help a tourist select his/her destination country. The development of medical tourism in Iran means providing high-tech facilities and personnel who are highly-trained in medical tourism, familiarization with the culture of medical tourists, the cooperation of stakeholders, advertisement of medical tourism, and so on. Conclusion: To develop medical tourism in Iran, in addition to the necessary equipment, the necessary training should also be provided, such as an introduction to medical tourism and the medical tourist and knowledge of the rules and regulations of medical tourism. Participants in training should be stakeholders in both the medical and the tourism sectors. It is necessary to design a training model for Iranian medical tourism.
Training
Medical tourism
staff development
Iran
2017
09
01
77
83
https://www.ijtmgh.com/article_49625_21202cfaeaeb05185c0480df889512e4.pdf
International Journal of Travel Medicine and Global Health
Int J Travel Med Glob Health
2322-1100
2322-1100
2017
5
3
Diarrhea Among International Travelers in Bali-Indonesia: Clinical and Microbiological Finding
Sri
Masyeni
Hegard
Sukmawati
Lila
Paramasatiari
Sri Agung
Aryastuti
Ketut Agus
Somia
Gede
Kambayana
Nyoman
Astika
Renny
Duarsa
Tuti Parwati
Merati
Introduction: Diarrhea is a common illness among travelers to developing countries. Located in a tropical region, Bali has a potentially high prevalence of travelers diarrhea. This hospital-based cross-sectional study was carried out to assess the clinical and microbiological profiles of diarrhea among travelers admitted to Kasih Ibu hospital, Denpasar-Bali. Methods: This study enrolled a total of 71 patients at Kasih Ibu hospital between April 2015 and August 2016. All patients completed an epidemiologic questionnaire; their clinical histories were taken, and physical examinations were performed. Stool samples were collected for bacterial and parasitologic studies and susceptibility testing. Results: Most patients were female (70.4%), and the nationality of most patients was Dutch (15.5%). Secretory diarrhea was the most frequently found diarrheal type (88.7%), with only 5.6% of cases having severe dehydration which developed into acute kidney injury. A high percentage of Entamoeba spp. was also seen in this study (54.9%). Of the 37 stool samples available for microbiological testing, 62.2% showed growth; Escherichia coli was the most commonly isolated bacteria (54.1%). Patients not infected by Entamoeba spp. were found more likely to experience nausea and vomiting (P<0.005). Conclusion: Secretory diarrhea was the most prevalent type of diarrhea among travelers admitted to Kasih Ibu hospital, Bali. The most frequently found pathogens were Entamoeba spp. and E. coli. Although most patients had only mild dehydration as a complication, acute kidney injury did occur in some cases.
Diarrhea
Entamoeba
Escherichia coli
2017
09
01
84
88
https://www.ijtmgh.com/article_49628_d387527541b513eb6fa364a0b54bb8af.pdf
International Journal of Travel Medicine and Global Health
Int J Travel Med Glob Health
2322-1100
2322-1100
2017
5
3
A Study of the Effect of Advertising on Attracting Medical Tourism
Reza
Azimi
Ghahraman
Mahmoudi
Habib-Allah
Esmaeili
Introduction: It is predicted that tourism will be the most profitable industry in the world in 2020. The current study aimed to evaluate the influence of advertising on attracting foreign medical tourists based on the marketing mix model. Methods: In this descriptive study, participants (n=136) completed a standard questionnaire containing items on demographic characteristics and advertising practices adopted by Mashhad hospitals (13 hospitals) to attract Arabic tourists (male-female) from seven nations in the period from March 2015 to August 2016. Data description was performed using charts and tables. The software used was spss21. Results: The results showed that 44.1% of medical tourists were satisfied with advertising practices. In terms of education, 85 (62.8%) tourists did not have a high school diploma. Seventy-six subjects (55.9%) were referred to hospitals by friends and acquaintances, 38.2% were referred by their physicians, and only 5.9% of tourists were attracted by other advertising methods. Conclusions: According to the results, most patients did not consider advertising strategies effective, and the advertising methods seemed to be unsuccessful in attracting people with a higher education. Therefore, it is suggested that advertising practices be revised and novel methods be adopted to appeal to a greater range of potential tourists.
Medical tourism
Hospitals
Marketing
2017
09
01
89
93
https://www.ijtmgh.com/article_49745_2c59b5c8ba8d23903fbd830c3d72ad5d.pdf
International Journal of Travel Medicine and Global Health
Int J Travel Med Glob Health
2322-1100
2322-1100
2017
5
3
Indian Medical Mission at Hajj-2016: Mass-Gathering Medicine Perspectives, Challenges, and Opportunities in a Mission Posture
Inam Danish
Khan
Shazia
Khan
Majid Ali
Khan
Muhammad Shaikhoo
Mustafa
MS
Kidwai
Shahbaz Ali
Khan
Bushra
Asima
Introduction: Hajj is an annual mass gathering of over 3.5 million pilgrims congregating from 200 countries in the desert climate of Saudi Arabia. Mass gathering medicine at Hajj is challenged by issues of healthcare accessibility, infection control, on-site treatment, referral, evacuation, and response to disasters and public health emergencies. The Indian Medical Mission at Hajj 2016 established, operated, and coordinated a strategic network of mass gathering medical operations, the proceeds of which are discussed herein. Methods: The mission was designed to provide holistic health security through health intelligence for pre-existing chronic diseases, epidemic intelligence for endemic and exotic diseases, public-health and disaster-health preparedness, and tiered healthcare through mobile medical task forces, static clinics, tent clinics, secondary care hospitals, and evacuation capabilities. Results: Primary care, secondary care, and tertiary care treated 374 475, 930, and 523 patients, respectively. Patients exhibited limited compliance with pre-instituted treatments and precautionary protocols. Respiratory and gastrointestinal infections, cardiorespiratory, trauma, and heat illnesses were seen. Epidemic intelligence revealed an outbreak of food poisoning. Respiratory infections were reported by 90% of the healthcare personnel. Surge capacity was overwhelmed with patient throughput and ambulance transfers. Crude unadjusted mortality was 11.99/10 000. Conclusion: The Indian Medical Mission at Hajj 2016 yielded solutions to the challenges faced during the 2016 Hajj pilgrimage. The mission posture of the Indian Medical Mission in Hajj presents a modus operandi for handling crisis scenarios in mass gathering. The situational analysis of the Hajj health mission calls for dynamic interventions in preparedness, clientele, and health systems.
Hajj
Mass Gathering Medicine
Travel Medicine
Public Health Preparedness
Disaster Health Preparedness
Medical Mission
2017
09
01
94
101
https://www.ijtmgh.com/article_49744_3e1993519d379307dd6d4044a02beb24.pdf
International Journal of Travel Medicine and Global Health
Int J Travel Med Glob Health
2322-1100
2322-1100
2017
5
3
Knowledge of Mothers About Puberty Health in Girls: A Survey in the Center of Iran
Elham
Naghshineh
Parastoo
Golshiri
Zahra
Hadi Sichani
Introduction: Maintaining and promoting health during puberty is among the most important educational matters and demands sufficient awareness. This is while, the knowledge of parents in this regard and its problems is not enough. Therefore, the present study investigated the knowledge of mothers regarding their daughters’ puberty health. Methods: In this cross-sectional study, the mothers of 200 girls’ aged 10-15 years and living in the center of Iran were chosen using the random sampling method and surveyed using a researcher-made questionnaire. The reliability of the questionnaire was calculated using Cronbach alpha (0.844). Results: The mean score of mother’s knowledge regarding social puberty was 83.61 ± 15.38, regarding psychological puberty was 79.94 ± 20.20, regarding physical puberty was 72.22 ± 18.00, and regarding nutrition during puberty was 76.55 ± 17.60. There was a direct correlation between mother’s education and mother’s knowledge scores (P < 0.001, r = 0.285), but no significant correlation was seen between mother’s knowledge and mother’s age or father’s job. Conclusion: The results indicated that mothers are well-informed of their daughters’ experience with puberty. Since mothers are considered the educational source for their daughters in most cases, their level of knowledge is important.
Puberty
Knowledge
Mothers
girls
Adolescent
Health
Iran
2017
09
01
102
106
https://www.ijtmgh.com/article_50134_4d3b5a4fe0bf1bb5d315c32064ec74e8.pdf